Individual provider Active NPI

Daniel C Harlin, M.D.

  • Diagnostic Radiology Physician
  • Harahan, LA
National Provider Identifier
1053401950
Registry record updated May 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
15480R Issued in LA
Practice address
621 Hickory Ave
Harahan, LA 70123-3106
Phone
(504) 738-2434
Fax
(504) 738-2430
NPI assigned
Oct 13, 2006
Last updated
May 31, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 15480R LA Primary

Addresses

Primary practice location

621 Hickory Ave
Harahan, LA 70123-3106

Mailing address

621 Hickory Ave
Harahan, LA 70123-3106
Phone (504) 738-2434

Other practice location 1

433 Plaza St
Bogalusa, LA 70427-3729
Phone (985) 445-3644

Other identifiers 1

IdentifierTypeStateIssuer
1473499MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dharlin15847@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041029000798 LA Practitioner - Diagnostic Radiology 9830151091 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Radiology, LLCGroup PAC ID 2860404811, 40 clinicians

Practice addresses (Care Compare)

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (918) 392-1702

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4000

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (918) 392-1702

1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (918) 392-1702

1310 W 7TH St
Kaplan, LA 70548-2910
Phone (918) 392-1702

1322 Elton Rd
Suite F
Jennings, LA 70546-4100
Phone (918) 392-1702

1401 Foucher St
New Orleans, LA 70115-3515
Phone (918) 392-1702

16300 Hwy 1085
Covington, LA 70433-7227
Phone (985) 871-6080

1900 Main St
Franklinton, LA 70438-3688
Phone (918) 392-1702

201 Saint Ann Dr
Suite B
Mandeville, LA 70471-3472
Phone (918) 392-1702

210 Champagne Blvd
Breaux Bridge, LA 70517-3700
Phone (918) 392-1702

2390 W Congress St
Lafayette, LA 70506-4205
Phone (918) 392-1702

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (918) 392-1702

2929 Napoleon Ave
New Orleans, LA 70115-6917
Phone (918) 392-1702

3437 Prytania St
New Orleans, LA 70115-3521
Phone (918) 392-1702

42570 S Airport Rd
Hammond, LA 70403-0946
Phone (918) 392-1702

71338 Louisiana
Suite 21
Covington, LA 70433-7227
Phone (918) 392-1702

901 James Ave
Farmerville, LA 71241-2234
Phone (918) 392-1702

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15480RLAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Passages Hospice North - Central, LLC CurrentSince Mar 1, 2020 Accepting new patients
Wash-St Tammany Reg Medical Center Current Accepting new patients
Our Lady of the Angels Hospital, Inc. CurrentSince Mar 17, 2014 Accepting new patients
St Tammany Parish Hospital Service District No 1 Past Accepting new patients
Computer Managment Consultants, Inc. Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Washington St. Tammany Regional Medical Center Past Accepting new patients
Louisiana Anesthesiology Group, L.L.C. Past Accepting new patients

Locations

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

Ownership & related parties

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Clarity Hospice of Baton RougeBaton Rouge, LA, CCN 191660 Hospice 5% Or Greater Indirect Ownership Interest (24.5%) Jul 15, 2021
The Sanctuary As Passages HospiceCovington, LA, CCN 191680 Hospice 5% Or Greater Direct Ownership Interest (50%) Jul 18, 2011
Passages HospiceAlexandria, LA, CCN 191579 Hospice 5% Or Greater Direct Ownership Interest (47.5%)
5% Or Greater Indirect Ownership Interest (47.5%)
Corporate Officer (47.5%)
W-2 Managing Employee (47.5%)
Operational/Managerial Control (47.5%)
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Passages HospiceMonroe, LA, CCN 191541 Hospice 5% Or Greater Direct Ownership Interest (47.5%)
5% Or Greater Indirect Ownership Interest (47.5%)
Corporate Officer (47.5%)
W-2 Managing Employee (47.5%)
Operational/Managerial Control (47.5%)
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Passages Hospice North - Central LLCMinden, LA, CCN 191535 Hospice 5% Or Greater Direct Ownership Interest (47.5%)
Corporate Officer (47.5%)
W-2 Managing Employee (47.5%)
Operational/Managerial Control (47.5%)
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020
Mar 1, 2020

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1053401950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233106",
            "telephone_number": "504-738-2434",
            "fax_number": "504-738-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HICKORY AVE",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701233106",
            "telephone_number": "504-738-2434",
            "fax_number": "504-738-2430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-445-3644",
            "fax_number": "985-250-9873",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARLIN",
        "first_name": "DANIEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "15480R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1473499",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dharlin15847@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "dharlin15847@direct.casso.us.com",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "433 Plaza St",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.